| NPI | 1477938363 |
|---|---|
| Doing Business As | YOUNG ADULT THERAPY |
| Entity Type | Organization |
| Authorized Contact | GAIL RACHEL LALK Licensed Professional Counselor 973-525-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00448600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00220900) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |